Individual provider Active NPI

Marianne Ebrahim, M.D.

  • Obstetrics & Gynecology Physician
  • Beverly Hills, CA
National Provider Identifier
1083934129
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A130314 Issued in CA
Practice address
99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288
Phone
(310) 385-3380
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A130314 CA Primary
Obstetrics & Gynecology Physician 207V00000X BP10037192 TX

Addresses

Primary practice location

99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288

Mailing address

99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288
Phone (310) 385-3380

Other practice location 1

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 927-1142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521002571 TX Practitioner - Obstetrics/Gynecology 7315169729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8160 Walnut Hill LN
Suite 200
Dallas, TX 75231-4340

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10037192TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Specialist of Dallas, P.a. Past Accepting new patients
Texas Health Physicians Group Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mebrahim64982@direct.texashealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1083934129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE M102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112288",
            "telephone_number": "310-385-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE M102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112288",
            "telephone_number": "310-385-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-927-1142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBRAHIM",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A130314",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10037192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.